STANLEY E SMITH JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033447

License Status

INACTIVE

Business

First Name

STANLEY E

Last Name

SMITH JR

Suffix

Business Name

STANLEY E SMITH JR MD

Original Issue Date

05/24/1955

Effective Date

05/24/1955

Expiration Date

07/31/1987

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006